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Titrate semaglutide and tirzepatide more slowly (hold each dose level for four weeks instead of the standard two to four weeks) if GI side effects are severe

I've never warmed the ampoule

Medications such as metformin or proton pump inhibitors can significantly hinder B12 absorption

Eating these foods regularly, along with a variety of whole foods (fruits, vegetables, whole grains, etc.), can often provide a complex mix of vitamins, minerals, fiber, and antioxidants

Bioavailability: 1 to 2% absorbed passively without intrinsic factor Deficiency: only if GI absorption is intact Dosing: daily, high-dose oral Prescription: no, available OTC At home: yes Get a B12 injection prescription Not sure which format fits your situation

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